Historical Trends in Cannabis Use Among U.S. Adults Ages 19-55, 2013-2021

Overview

Journal J Stud Alcohol Drugs

Specialty Psychiatry

Date 2024 Feb 27

PMID 38411146

Authors

Megan E Patrick

Yuk C Pang

Yvonne M Terry-McElrath

Brooke J Arterberry

Affiliations

Soon will be listed here.

Abstract

Objective: The current study used U.S. national data to examine trends in cannabis use from 2013 to 2021, focusing on changes in cannabis prevalence during young and middle adulthood and whether trends differed by sociodemographic characteristics.

Method: Data from 2013 to 2021 from 21,182 respondents ages 19-30 and 29,871 ages 35-55 in the national Monitoring the Future panel study (followed since they were in 12th grade in 1976-2020) were used to model historical trends in cannabis prevalence (any 12-month use, any 30-day use, and near-daily use [≥20 occasions in the past 30 days]).

Results: Prevalence of 12-month, 30-day, and near-daily cannabis use signiﬁcantly increased from 2013 to 2021 for both young and middle adults. Trends for all three behaviors indicated either consistent linear increases or two-slope increases in which the slope estimate was larger in more recent years. Historical increases in 12-month and 30-day use were similar for young and middle adulthood; the historical increase in near-daily use among middle adults had some evidence for a possible pandemic-related deviation. Historical trends did not differ by race/ethnicity or college degree. Trends for 12-month and 30-day use differed by sex, with women increasing more than men over time, especially during middle adulthood.

Conclusions: Signiﬁcant increases in the prevalence of cannabis use have occurred over the past decade for young and middle adults across sociodemographic groups, with some indication that near-daily use increased among middle adults at the onset of the pandemic. Although men continue to have a higher prevalence than women, the gap has narrowed, with greater increases in cannabis use among women.

References

Bonar E, Parks M, Gunlicks-Stoessel M, Lyden G, Mehus C, Morrell N . Binge drinking before and after a COVID-19 campus closure among first-year college students. Addict Behav. 2021; 118:106879. PMC: 8030270. DOI: 10.1016/j.addbeh.2021.106879. View

Patrick M, Couper M, Jang B, Laetz V, Schulenberg J, OMalley P . Building on a Sequential Mixed-Mode Research Design in the Monitoring the Future Study. J Surv Stat Methodol. 2022; 10(1):149-160. PMC: 8784011. DOI: 10.1093/jssam/smaa030. View

Hasin D, Shmulewitz D, Sarvet A . Time trends in US cannabis use and cannabis use disorders overall and by sociodemographic subgroups: a narrative review and new findings. Am J Drug Alcohol Abuse. 2019; 45(6):623-643. PMC: 6745010. DOI: 10.1080/00952990.2019.1569668. View

Patrick M, Couper M, Jang B, Laetz V, Schulenberg J, Johnston L . Two-Year Follow-up of a Sequential Mixed-Mode Experiment in the U.S. National Monitoring the Future Study. Surv Pract. 2019; 12(1). PMC: 6924618. DOI: 10.29115/SP-2019-0003. View

Kim H, Fay M, Feuer E, Midthune D . Permutation tests for joinpoint regression with applications to cancer rates. Stat Med. 2000; 19(3):335-51. DOI: 10.1002/(sici)1097-0258(20000215)19:3<335::aid-sim336>3.0.co;2-z. View

Han B, Sherman S, Mauro P, Martins S, Rotenberg J, Palamar J . Demographic trends among older cannabis users in the United States, 2006-13. Addiction. 2016; 112(3):516-525. PMC: 5300687. DOI: 10.1111/add.13670. View

Patrick M, Couper M, Parks M, Laetz V, Schulenberg J . Comparison of a web-push survey research protocol with a mailed paper and pencil protocol in the Monitoring the Future panel survey. Addiction. 2020; 116(1):191-199. PMC: 7736051. DOI: 10.1111/add.15158. View

Martins S, Mauro C, Santaella-Tenorio J, Kim J, Cerda M, Keyes K . State-level medical marijuana laws, marijuana use and perceived availability of marijuana among the general U.S. population. Drug Alcohol Depend. 2016; 169:26-32. PMC: 5140747. DOI: 10.1016/j.drugalcdep.2016.10.004. View

Azofeifa A, Mattson M, Schauer G, McAfee T, Grant A, Lyerla R . National Estimates of Marijuana Use and Related Indicators - National Survey on Drug Use and Health, United States, 2002-2014. MMWR Surveill Summ. 2016; 65(11):1-28. DOI: 10.15585/mmwr.ss6511a1. View

10.

Volkow N, Baler R, Compton W, Weiss S . Adverse health effects of marijuana use. N Engl J Med. 2014; 370(23):2219-27. PMC: 4827335. DOI: 10.1056/NEJMra1402309. View

11.

Cerda M, Mauro C, Hamilton A, Levy N, Santaella-Tenorio J, Hasin D . Association Between Recreational Marijuana Legalization in the United States and Changes in Marijuana Use and Cannabis Use Disorder From 2008 to 2016. JAMA Psychiatry. 2019; 77(2):165-171. PMC: 6865220. DOI: 10.1001/jamapsychiatry.2019.3254. View

12.

Salas-Wright C, Vaughn M, Cummings-Vaughn L, Holzer K, Nelson E, AbiNader M . Trends and correlates of marijuana use among late middle-aged and older adults in the United States, 2002-2014. Drug Alcohol Depend. 2017; 171:97-106. PMC: 5263052. DOI: 10.1016/j.drugalcdep.2016.11.031. View

13.

Miech R, Leventhal A, Johnston L, OMalley P, Patrick M, Barrington-Trimis J . Trends in Use and Perceptions of Nicotine Vaping Among US Youth From 2017 to 2020. JAMA Pediatr. 2020; 175(2):185-190. PMC: 7739194. DOI: 10.1001/jamapediatrics.2020.5667. View

14.

Assaf R, Gorbach P, Cooper Z . Changes in medical and non-medical cannabis use among United States adults before and during the COVID-19 pandemic. Am J Drug Alcohol Abuse. 2022; 48(3):321-327. PMC: 9308664. DOI: 10.1080/00952990.2021.2007257. View

15.

Grucza R, Agrawal A, Krauss M, Cavazos-Rehg P, Bierut L . Recent Trends in the Prevalence of Marijuana Use and Associated Disorders in the United States. JAMA Psychiatry. 2016; 73(3):300-1. PMC: 5407184. DOI: 10.1001/jamapsychiatry.2015.3111. View

16.

Chawla D, Yang Y, Desrosiers T, Westreich D, Olshan A, Daniels J . Past-month cannabis use among U.S. individuals from 2002-2015: An age-period-cohort analysis. Drug Alcohol Depend. 2018; 193:177-182. PMC: 6542262. DOI: 10.1016/j.drugalcdep.2018.05.035. View

17.

Hasin D, Walsh C . Trends over time in adult cannabis use: A review of recent findings. Curr Opin Psychol. 2021; 38:80-85. PMC: 8905582. DOI: 10.1016/j.copsyc.2021.03.005. View

18.

Patrick M, Pang Y, Terry-McElrath Y, Laetz V, Couper M . Comparison of a web-push vs. mailed survey protocol in the Monitoring the Future panel study among adults ages 35 to 60. Drug Alcohol Depend Rep. 2022; 4. PMC: 9481057. DOI: 10.1016/j.dadr.2022.100089. View

19.

Compton W, Han B, Jones C, Blanco C, Hughes A . Marijuana use and use disorders in adults in the USA, 2002-14: analysis of annual cross-sectional surveys. Lancet Psychiatry. 2016; 3(10):954-964. DOI: 10.1016/S2215-0366(16)30208-5. View

20.

Merrill J, Stevens A, Jackson K, White H . Changes in Cannabis Consumption Among College Students During COVID-19. J Stud Alcohol Drugs. 2022; 83(1):55-63. PMC: 8819900. View